Individual
MCKINLEY MIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2570 48TH ST, SACRAMENTO, CA 95817-1541
(916) 734-2145
Mailing address
4623 THOMAS LAKE HARRIS DR UNIT 311, SANTA ROSA, CA 95403-0195
(619) 203-5758
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95332932
CA
Other
Enumeration date
04/14/2019
Last updated
09/11/2025
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